DR. PRASHANT SUDHIR KELKAR D.O.
NPI 1053536755
Neurological Surgery in Southfield, MI
About Dr. Prashant Sudhir Kelkar D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRASHANT SUDHIR KELKAR D.O. (NPI 1053536755) is an individual neurological surgery provider in Southfield, Michigan, licensed in Michigan (5101017275) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Mid West Medical College (2007).
NPPES Registry Identity
Specialties & Licenses
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Prashant Sudhir Kelkar D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 18
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence Hospital, Southfield And Novi
Acute Care Hospitals · Southfield, MIHenry Ford Health Hospital
Acute Care Hospitals · Detroit, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIAscension Providence Rochester Hospital
Acute Care Hospitals · Rochester, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48075
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prashant Kelkar's NPI number?
The NPI number for Prashant Kelkar is 1053536755. It was assigned to this individual provider in the NPPES registry on April 16, 2007.
Where is Prashant Kelkar located?
Prashant Kelkar practices at 22250 Providence Dr Ste 601, Southfield, MI 48075. The listed phone number is (248) 569-7745.
What is Prashant Kelkar's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Prashant Kelkar enrolled in Medicare?
Yes. Prashant Kelkar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Prashant Kelkar accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Prashant Kelkar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Prashant Kelkar affiliated with any hospitals?
According to CMS data, Prashant Kelkar is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Health Hospital, Ascension St John Hospital, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Prashant Kelkar was last updated on January 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.
